Gavage intolerance. Feeding difficulties
Conditions
Interventions
Intervention 1: Control group: Patients will be treated routinely. ?Ampule Metoclopramide 10 mg will be administered intravenously three times a day. Intervention 2: Intervention group: In addition to
After the gavage, a second hot bag with water at a temperature of 40 ° C will be used. This intervention will continue until the gavage intolerance resolves and the gavage volume reaches the target le
Sponsors
Kerman University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: Having nasogastric / orogastric tube Routine food intake (intermittent enteral feeding with available solutions) Intolerance of enteral feeding (Gastric residual volume> 500 ml)
Exclusion criteria
Exclusion criteria: Radiotherapy and surgery in the abdominal region during the last 6 weeks Contraindications for heat therapy in the abdominal region such as cellulite, abdominal tumors, peritonitis, abdominal aneurysm, ascites Being an NPO (due to preparation for diagnostic tests or surgery) Having diarrhea (watery stools three or more times a day, 200 to 250 ml) Having fever (T> 38 º C) Hyperglycemia (BS> 200), due to its effect on peristalsis Any electrolyte disturbance, due to the effect on peristalsis Opium addiction Any chronic gastrointestinal disease (inflammatory bowel disease, gastrointestinal cancer, etc.) Any drugs affecting gastrointestinal peristalsis such as tricyclic antidepressants, NSIDs, anticholinergics, vasopressors (> 10 µg/kg/min) Acute gastrointestinal disorders at the time of the study, including bleeding Shock Discharge from the ICU or death during the intervention The patient's family members withdrawal to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gavage intolerance (Gastric residual volume more than 500 milliliters in six hours). Timepoint: Before the intervention, before each gavage (8 times a day), until the treatment of gavage intolerance. Method of measurement: Lavage of gastric residual volume with syringe. | — |
Secondary
| Measure | Time frame |
|---|---|
| Abdomen circumference. Timepoint: Before the intervention, before each gavage (8 times a day), until the treatment of gavage intolerance. Method of measurement: using meter measuring tape. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Mehdi Ahmadinejad
Kerman University of Medical Sciences
Outcome results
None listed